Organization
GILA RIVER HEALTH CARE CORPORATION
Active
Other names
Transportation Department
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY J SMITH (CONTROLLER)
(602) 528-1203
Entity
Organization
Contact information
Practice address
483 W. SEED FARM RD, SACATON, AZ 85247
(520) 562-5170
(602) 528-1296
Mailing address
P.O. BOX 38, 483 W. SEED FARM RD., SACATON, AZ 85247
(502) 562-5170
(602) 528-1296
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
NA
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078042
—
AZ
Enumeration date
05/07/2007
Last updated
08/22/2020
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